| |
1811 E Beaumont St, Park City, KS 67219-2420 | |
(316) 260-2251 | |
(316) 744-3152 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 1811 E Beaumont St, Park City, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790843175 | NPI | - | NPPES |
PHS | Other | KS | PREFERRED HEALTH SYSTEMS |
115686 | Other | KS | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 1701909 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
1811 E Beaumont St, Park City, KS 67219-2420 Ph: (316) 260-2251 | 1811 E Beaumont St, Park City, KS 67219-2420 Ph: (316) 260-2251 |
Mrs. Melinda Beth Shellenberger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 E Beaumont St, Park City, KS 67219 Phone: 316-260-2251 Fax: 316-744-3152 |